Healthcare Provider Details

I. General information

NPI: 1194572917
Provider Name (Legal Business Name): KARLENE GAYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 VAN SICLEN AVE
BROOKLYN NY
11239-2412
US

IV. Provider business mailing address

1540 VAN SICLEN AVE
BROOKLYN NY
11239-2412
US

V. Phone/Fax

Practice location:
  • Phone: 347-409-7031
  • Fax:
Mailing address:
  • Phone: 347-409-7031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number584425-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number584425-01
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number584425-01
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number584425-01
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number584425-01
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number584425-01
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number584425-01
License Number StateNY
# 8
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number584425-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: